18-25 year old female with a right complete cleft lip and palate who wanted to improve the asymmetries of the nose, lip, and flatness of the midface. The patient underwent a cleft rhinoplasty with rib cartilage graft and fat transfer to the lips and midface. In the post-operative photos, you can visualize improved symmetry, the right nostril has been rotated down and in, and the tip has been rotated up and projected more. For the lip and midface, the patient’s face appears less scalloped or concave and is fuller in the cheeks and lips.